Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $16.71 / $42.12	Facility		$15.25	$16.71	$42.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $13.67 / $16.76	Professional		$13.44	$13.67	$16.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $18.96 / $33.29	Facility		$13.17	$18.96	$33.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $12.57 / $16.97	Professional		$8.55	$12.57	$16.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $17.60 / $17.60	Facility		$17.60	$17.60	$17.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $19.41 / $24.26	Professional		$9.58	$19.41	$24.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $15.92 / $42.12	Facility		$15.12	$15.92	$42.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $17.88 / $20.95	Professional		$13.44	$17.88	$20.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $13.87 / $18.72	Professional		$12.48	$13.87	$18.72
United Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $19.91 / $20.79	Professional		$10.06	$19.91	$20.79